Flashcards in Settlement and legal management Deck (6)
When a claim denial is appealed, what are the four levels of litigation (APPEAL) that can occur?
-In-person Admin Hearing with Administrative law Judge (ALJ) at the WCB Hearings Division
-Board review of the ALJ's opinion by the WCB
-Review by Oregon Court of Appeals
-Review by the Oregon Supreme Court
What are two common settlement types in a DENIED claim?
-Disputed Claim Settlement (DCS)" settles ALL BENEFITS in the claim
-Stipulation and Order (Stip) : an agreement to RESCIND THE DENIAL and ACCEPT the claim
What are the settlement options in an ACCEPTED claim?
-Claims Disposition Agreement (CDA)
-Disputed Claim Settlement (DCS) (if there is a PARTIAL denial in the claim
-Stipulation and Order (Stip)
What is the only benefit a worker cannot settle when agreeing to a CDA?
How many days do insurers have to pay a CDA once it has been approved?
14 days from receipt of the approved order from WCB